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Lower Elementary Field Trip

Student Name(Required)
Parent/Guardian Name(Required)
Additional Student Name
Additional Student Name

Field Trip Consent

Please provide consent or deny consent for the following planned field trip. A Yes or No response is required for every field trip. “Yes” indicates consent while “no” will result in a denial of consent and your student will not be able to participate in the activity.
Revive Church | Wednesday 6/12/24 | 2:30-4:30(Required)
5541 Cleves Warsaw Pike, Cincinnati, OH 45238 | Pickup: 2:15pm Drop Off: by 4:45pm
National Underground Railroad Freedom Center | Wednesday 6/19/24 | 2:30-4:30(Required)
50 East Freedom Way Cincinnati, OH 45202 | Pickup: 2:15pm Drop Off: by 4:45pm
Cincinnati Zoo | Wednesday 6/26/24 | 12:30-3:30(Required)
3400 Vine St, Cincinnati, OH 45220 | Pickup: 12:15pm Drop Off: by 4pm
Dunham Pool | Wednesday 7/3/24 | 11-2(Required)
4356 Dunham Ln, Cincinnati, OH 45238 | Pickup: 10:45pm Drop Off: by 2:15pm | Swimsuit Required
Urban Air | Wednesday 7/10/24 | 2:30-4:30(Required)
3321 Alamo Ave, Cincinnati, OH 45209 | Pick UP: 2:15 Drop OFF: 4:45
Mt. Echo | Wednesday 7/17/24 | 2:30-4:30(Required)
251 Mt Echo Park Dr, Cincinnati, OH 45205 | Pick UP: 2:15 Drop OFF: 4:45
Revive Church | Wednesday 7/24/24 | 2:30-4:30(Required)
5541 Cleves Warsaw Pike, Cincinnati, OH 45238 | Pickup: 2:15pm Drop Off: by 4:45pm
Arcade Legacy or Dave & Busters | Wednesday 7/31/24 | 2:30-4:30(Required)
Pickup: 2:15pm Drop Off: by 4:45pm
Western Bowl Strike & Spare | Wednesday 8/7/24 | 2:30-4:30(Required)
6383 Glenway Ave, Cincinnati, OH 45211 | Pickup: 2:15pm Drop Off: by 4:45pm
Digital Signature of Consenting Guardian or Student (if over 18)(Required)
By filling out your name as the parent, guardian, or consenting student (if over 18) below, you are signing in agreement with Back2Back’s ability to take your child on extracurricular activities. This digital signature serves as an additional form of consent along with the choices above.
Date of Submission(Required)
This field is for validation purposes and should be left unchanged.